Please help me correctly code the following scenario:
The patent presented to the emergency department complaining of vomiting coffee-ground material several times within the past 2 hours. He has abdominal pain and has been unable to eat for the past 24 hours. He is dizzy and light-headed. Two stools today have been black and tarry. While in the emergency department, he vomited bright-red blood and some coffee-ground material. A nasogastric tube was inserted by the ED physician and attached to suction with flouro. An abdominal exam showed a fluid wave consistent with ascites. An IV of lactated ringers was started, and CBC and clotting studies were drawn. A detailed history and physical exam with with-high complexity medical decision making were documented. A GI consultant was called and the patient was taken to Endoscopy for further evaluation of upper GI bleeding. Diagnosis: Hematemesis, rule out esophageal varices; blood loss anemia (CBC review) acute; ascites. CODE THE SERVICES OF THE ED PHYSICIAN.
CPT Codes:
ICD-9-CM Codes:
If anyone can help me I would greatly appreciate it.
The patent presented to the emergency department complaining of vomiting coffee-ground material several times within the past 2 hours. He has abdominal pain and has been unable to eat for the past 24 hours. He is dizzy and light-headed. Two stools today have been black and tarry. While in the emergency department, he vomited bright-red blood and some coffee-ground material. A nasogastric tube was inserted by the ED physician and attached to suction with flouro. An abdominal exam showed a fluid wave consistent with ascites. An IV of lactated ringers was started, and CBC and clotting studies were drawn. A detailed history and physical exam with with-high complexity medical decision making were documented. A GI consultant was called and the patient was taken to Endoscopy for further evaluation of upper GI bleeding. Diagnosis: Hematemesis, rule out esophageal varices; blood loss anemia (CBC review) acute; ascites. CODE THE SERVICES OF THE ED PHYSICIAN.
CPT Codes:
ICD-9-CM Codes:
If anyone can help me I would greatly appreciate it.